Hi,
My 9 year old son was diagnosed with Type 1 in January so we're very new to all this but we've been trying to keep on top of it and so far it's been going OK. He had his first Hb1Ac last month which was 6.8% which we were pretty happy with. His honeymoon started coming to a close around 4-5 weeks ago, sooner than we hoped, but it's such a relatively small stage in his life with Diabetes we've tried not to get too attached to it. He's on multiple injections - before meals and longer acting each day.
Anyway, to the point. We want to know if we're going mad or if this is something that other people see. Basically we've come to think about blood sugar readings in two different ways - one type that we know is stable, where there isn't going to be a huge drop, and another that seems much more fragile and prone to dropping. This is something we've seen throughout the last 4 months. Yesterday was a good case in point - he had his tea at 4.30pm, then took part in a local festival from 5.30pm for 2 hours (lots of walking around). He had 8g carbs in biscuits at about 6pm, just to give him a little bit more to keep going on. By the end of things he was 9.5 which, whilst a little high, wasn't of any concern (we'd purposefully given him a ratio with his tea to keep him on the higher end, rather than have him hypo and ruin his fun). Then, as we always do, we tested him just before bed, and he'd shot up to 14.3 - this can happen with moderate exercise, as we know. But this is the reading that we understand as a fragile one (it's the only way I can explain it). We didn't want to take the risk of giving him insulin because of this, and also didn't want to give him any extra carbs. So he went to bed. Within an hour he was 6.6 (we tested again then because we thought it would prove to be such a fragile reading). We woke him up to give him some milk and everything was fine after that.
Like I say, this is something that we see relatively often, especially 3-4 hours after a meal. Do other people come to understand blood sugar readings as different 'types' like this? We try not to treat either way if we feel it's one like this and instead test again within half an hour or so just to confirm. Insulin would obviously make him crash a lot and, giving carbs at this point we're unsure whether that would bolster the high and cause him to go even higher or just offset the drop that is likely coming.
We're just trying to make sense of things, really, and understand whether what we're seeing is something that others understand, or if we're way off in thinking like this.
Thanks,
Gareth
My 9 year old son was diagnosed with Type 1 in January so we're very new to all this but we've been trying to keep on top of it and so far it's been going OK. He had his first Hb1Ac last month which was 6.8% which we were pretty happy with. His honeymoon started coming to a close around 4-5 weeks ago, sooner than we hoped, but it's such a relatively small stage in his life with Diabetes we've tried not to get too attached to it. He's on multiple injections - before meals and longer acting each day.
Anyway, to the point. We want to know if we're going mad or if this is something that other people see. Basically we've come to think about blood sugar readings in two different ways - one type that we know is stable, where there isn't going to be a huge drop, and another that seems much more fragile and prone to dropping. This is something we've seen throughout the last 4 months. Yesterday was a good case in point - he had his tea at 4.30pm, then took part in a local festival from 5.30pm for 2 hours (lots of walking around). He had 8g carbs in biscuits at about 6pm, just to give him a little bit more to keep going on. By the end of things he was 9.5 which, whilst a little high, wasn't of any concern (we'd purposefully given him a ratio with his tea to keep him on the higher end, rather than have him hypo and ruin his fun). Then, as we always do, we tested him just before bed, and he'd shot up to 14.3 - this can happen with moderate exercise, as we know. But this is the reading that we understand as a fragile one (it's the only way I can explain it). We didn't want to take the risk of giving him insulin because of this, and also didn't want to give him any extra carbs. So he went to bed. Within an hour he was 6.6 (we tested again then because we thought it would prove to be such a fragile reading). We woke him up to give him some milk and everything was fine after that.
Like I say, this is something that we see relatively often, especially 3-4 hours after a meal. Do other people come to understand blood sugar readings as different 'types' like this? We try not to treat either way if we feel it's one like this and instead test again within half an hour or so just to confirm. Insulin would obviously make him crash a lot and, giving carbs at this point we're unsure whether that would bolster the high and cause him to go even higher or just offset the drop that is likely coming.
We're just trying to make sense of things, really, and understand whether what we're seeing is something that others understand, or if we're way off in thinking like this.
Thanks,
Gareth